Provider Demographics
NPI:1164631909
Name:THERAPEUTIC STRATEGIES
Entity Type:Organization
Organization Name:THERAPEUTIC STRATEGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-329-6001
Mailing Address - Street 1:149 US HIGHWAY 70 W
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3942
Mailing Address - Country:US
Mailing Address - Phone:919-329-6001
Mailing Address - Fax:919-662-7883
Practice Address - Street 1:149 US HIGHWAY 70 W
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3942
Practice Address - Country:US
Practice Address - Phone:919-329-6001
Practice Address - Fax:919-662-7883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC018GNOtherBCBS
NC8301182BMedicaid
NC6006063Medicaid